Xiao Yao Wan is one of the most widely reccomended Chinese patent formulas. The formula was first published in the "Tai Ping Imperical Grace Formulary" (Tài Píng Huì Mín Hé Jì Jú Fāng) in 992AD.
Xiao Yao Wan mainly functions to relieve depression by soothing the liver and to nourish the blood by strengthening the spleen. It is used to treat hypochondria pain, headache and dizziness, dry mouth and throat, fatigue and lack of appetite, irregular menstruation, and distending pain of the breast.
Clinical Usage and Indications
Depression, anxiety, Headache, vertigo, hypochondria pain, fatigue, poor appetite, bitter taste in the mouth. In women - PMS, breast distention, irregular menstruation, fertility issues.
The Pulse will be wiry and deficient and the Tongue will be pale-red/purplish.
Nourishes the blood and regulates menstrual problems due to blood deficiency (pale, lusterless complexion and nails) - menstrual dysfunction, vaginal discharge, uterine bleeding - very common herb for gynecological disorders (Si Wu Tang).
Calms liver yang, alleviates pain from constrained liver qi or disharmony between the liver and the spleen due to liver yang rising - cramping and spasms (limbs and abdomen), abdominal pain from dysentery, headache and dizziness.
Preserves yin, adjusts ying and wei levels - vaginal discharge and spermatorrhea, exterior wind-cold from deficiency with continuous sweating, spontaneous sweating, night sweats.
Clears shao yang disorders and reduces fever - alternating chills and fever, bitter taste in the mouth, irritability, vomiting, stifling sensation in the chest.
Relieves liver qi stagnation (often used with Bai Shao) - vertigo, menstrual disorders, chest and flank pain, the most common herb to treat stress, irritability, depression, etc.; also for liver and spleen disharmony - bloating, nausea, indigestion, flank pain.
Raises yang qi in spleen and stomach deficiency patterns (often used with Sheng Ma) - prolapsed organ, diarrhea, hemorrhoids.
Due to its rising and dispersing nature avoid in yin deficiency or liver yang rising.
May cause nausea or vomiting - use a smaller dose if necessary.